CHRISTY HOLMSTROM (NPI# 1013361625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013361625 |
| Entity Type | Individual |
| Full Name | CHRISTY HOLMSTROM |
| Credential | RRA |
| Practice Address |
1457 W Southern Ave Suite 26 Mesa AZ 85202-4813 |
| Mailing Address |
Po Box 64568 Phoenix AZ 85082-4568 |
| Practice Telephone | 4803747354 |
| Practice Fax Number | 4803711121 |
| Mailing Telephone | 3184244008 |
| Mailing Fax Number | 8552301466 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471V0106X |
Radiologic Technologist Specialization: Vascular-Interventional Technology |
368780 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1457 W SOUTHERN AVE SUITE 26 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835020 | Karen B. Garby | Radiology | 1457 W Southern Ave, Suite 26, Mesa, AZ 85202-4813 | 2005-10-14 |
| 1811449671 | Pda Holdco Chandler LLC | Dentist | 1457 W Southern Ave, Ste 18, Mesa, AZ 85202-4813 | 2016-10-27 |
| 1720530595 | Pda Holdco, LLC | Dentist | 1457 W Southern Ave, Suite 18, Mesa, AZ 85202-4813 | 2016-10-27 |
| 1982093076 | San Tan Mobile Diagnostics LLC | Physiological Laboratory | 1457 W Southern Ave, Suite 24, Mesa, AZ 85202-4813 | 2015-01-13 |
| 1013272624 | Jeffrey T Pearson | Dentist | 1457 W Southern Ave, Suite #18, Mesa, AZ 85202-4813 | 2012-07-10 |
| 1821369455 | Pda Holdco | Dentist | 1457 W Southern Ave, Suite #18, Mesa, AZ 85202-4813 | 2012-01-12 |
| 1093098550 | Dialysis Newco Inc | Clinic/Center | 1457 W Southern Ave, Suite D-19, Mesa, AZ 85202-4813 | 2011-09-21 |
| 1649249061 | Insight Health Corporation | Physiological Laboratory | 1457 W Southern Ave, Ste 26, Mesa, AZ 85202-4813 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2471V0106X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular-Interventional Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376304 | Paul L Vaughn Associates LLC | Radiologic Technologist | 2204 S Dobson Rd Ste 204, Mesa, AZ 85202-6457 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083179378 | Modern Vascular of Sun City, LLC | Radiologic Technologist | 14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280 | 2019-01-31 |
| 1255896544 | Modern Vascular of Tucson, LLC | Radiologic Technologist | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2019-01-31 |
| 1861607533 | Denise Bailey | Radiologic Technologist | 3880 Stockton Hill Rd, #103-327, Kingman, AZ 86409-0595 | 2007-05-14 |
Please comment or provide details below to improve the information on CHRISTY HOLMSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.